1 | IBTUTL4 ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ; 21-JUN-93
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2 | ;;2.0;INTEGRATED BILLING;**60,91**;21-MAR-94
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3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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4 | ;
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5 | AEA(IBTRC,X) ; -- dd input call for authorize entire admission (field 1.08)
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6 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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7 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",7) D NOTOK("Deny Entire Admission already answered 'YES'.") G AEAQ
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8 | D ARRAY^IBTUTL3(IBTRC)
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9 | I $G(ARRAY(0)) D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0))))
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10 | I $G(ARRAY),ARRAY'=IBTRC D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0))))
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11 | AEAQ Q IBOK
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12 | ;
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13 | DEA(IBTRC,X) ; -- dd input call for deny entry admission (field 1.07)
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14 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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15 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",8) D NOTOK("Authorize Entire Admission already answered 'YES'.") G DEAQ
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16 | D ARRAY^IBTUTL3(IBTRC)
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17 | I $G(ARRAY(0)),+ARRAY(0)'=IBTRC D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0))))
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18 | I $G(ARRAY) D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0))))
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19 | DEAQ Q IBOK
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20 | ;
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21 | AFDT(IBTRC,X) ; -- dd input call for check to approved from date (field .12)
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22 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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23 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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24 | ;
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25 | D CHK I 'IBOK G AFDTQ
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26 | ;
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27 | I $P(^IBT(356.2,+IBTRC,0),U,13),X>$P(^(0),"^",13) D NOTOK("Care Authorized From Date must be before the Care Authorized To Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G AFDTQ
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28 | ;
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29 | D CHK2 I '$D(ARRAY) G AFDTQ
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30 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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31 | AFDTQ Q IBOK
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32 | ;
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33 | ATDT(IBTRC,X) ; -- dd input call for check to approved to date (field .13)
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34 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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35 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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36 | D CHK G:'IBOK ATDTQ
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37 | ;
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38 | I $P(^IBT(356.2,+IBTRC,0),U,12),X<$P(^(0),"^",12) D NOTOK("Care Authorized To Date must not be before the Care Authorized From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G ATDTQ
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39 | ;
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40 | D CHK2 I '$D(ARRAY) G ATDTQ
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41 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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42 | ATDTQ Q IBOK
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43 | ;
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44 | DFDT(IBTRC,X) ; -- dd input call for check to denied from date (field .15)
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45 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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46 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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47 | D CHK G:'IBOK DFDTQ
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48 | ;
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49 | I $P(^IBT(356.2,+IBTRC,0),U,16),X>$P(^(0),"^",16) D NOTOK("Care Denied From Date must be before the Care Denied To Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DFDTQ
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50 | ;
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51 | D CHK2 I '$D(ARRAY) G DFDTQ
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52 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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53 | DFDTQ Q IBOK
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54 | ;
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55 | DTDT(IBTRC,X) ; -- dd input call for check to denied to date (field .16)
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56 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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57 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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58 | D CHK G:'IBOK DTDTQ
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59 | ;
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60 | I $P(^IBT(356.2,+IBTRC,0),U,15),X<$P(^(0),"^",15) D NOTOK("Date must not be before the Care Denied From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DTDTQ
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61 | ;
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62 | D CHK2 I '$D(ARRAY) G DTDTQ
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63 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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64 | DTDTQ Q IBOK
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65 | ;
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66 | CHK ; -- generic check functions
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67 | I '$G(X)!('$G(IBTRC))!($G(^IBT(356.2,+$G(IBTRC),0))="") S IBOK=0 Q
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68 | S IBTRND=$G(^IBT(356,+$P($G(^IBT(356.2,+IBTRC,0)),"^",2),0))
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69 | ;
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70 | I X<($P(IBTRND,"^",6)\1) D NOTOK("Date can't be before admission or visit date ("_$$FMTE^XLFDT($P(IBTRND,"^",6))_")!") Q
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71 | ;
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72 | S Y=$$DISCH(+$P(IBTRND,"^",5)) I Y,X>Y D NOTOK("Date can not be after Discharge Date ("_$$FMTE^XLFDT(Y)_")!") Q
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73 | Q
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74 | ;
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75 | CHK2 ; -- if pass first set of check do these
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76 | D ARRAY^IBTUTL3(IBTRC)
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77 | I $G(ARRAY) D NOTOK("Whole Admission has already been Authorized, can not add partial dates!")
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78 | I $G(ARRAY(0)) D NOTOK("Whole Admission has already been Denied, can not add partial dates!")
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79 | Q
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80 | ;
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81 | NOTOK(MESS) ; -- process not okays
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82 | S IBOK=0
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83 | I '$D(ZTQUEUED),$G(MESS)'="" W !,MESS,!
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84 | Q
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85 | ;
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86 | DISCH(DGPM) ; -- find discharge date for an admission
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87 | ;
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88 | N X S X=""
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89 | I '$G(^DGPM(+$G(DGPM),0)) G DISCHQ
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90 | S X=+$G(^DGPM(+$P($G(^DGPM(DGPM,0)),"^",17),0))
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91 | DISCHQ Q X
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92 | ;
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93 | ;
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94 | ASK(IBTRN,IBW) ; Prompt for Provider or Diagnosis from PCE
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95 | ; Input: IBTRN -- Pointer to Claims Tracking entry in #356
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96 | ; IBW -- 1 - Provider | 2 - Diagnosis
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97 | ;
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98 | N DFN,IBVSIT,IBTRND,IBPKG,IBOEDATA,IBRESULT,IBCLIN,IBERROR
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99 | S IBERROR=""
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100 | I '$G(IBTRN) S IBERROR="No Claims Tracking entry has been provided!" G ASKQ
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101 | I "^1^2^"'[("^"_$G(IBW)_"^") S IBERROR="The prompt type was not specified!" G ASKQ
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102 | ;
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103 | S IBPKG=$O(^DIC(9.4,"C","IB",0))
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104 | I 'IBPKG S IBERROR="Cannot determine the Package file entry for IB!" G ASKQ
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105 | ;
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106 | S IBTRND=$G(^IBT(356,IBTRN,0)),IBOEDATA=$$SCE^IBSDU(+$P(IBTRND,"^",4))
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107 | S IBVSIT=$P(IBTRND,"^",3),IBCLIN=$P(IBOEDATA,"^",4),DFN=$P(IBTRND,"^",2)
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108 | I 'IBVSIT S IBVSIT=$P(IBOEDATA,"^",5)
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109 | I 'IBVSIT S IBERROR="Cannot determine the Visit file entry!" G ASKQ
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110 | I 'IBCLIN S IBERROR="Cannot determine the Clinic location of the visit!" G ASKQ
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111 | ;
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112 | S IBRESULT=$$INTV^PXAPI($S(IBW=1:"PRV",1:"POV"),IBPKG,"IB DATA",IBVSIT,IBCLIN,DFN)
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113 | ;
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114 | ASKQ I IBERROR]"" W !!,IBERROR,! S DIR(0)="E" D ^DIR K DIR
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115 | Q
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